The nurse administers an incorrect dose of medication to a patient. After assessing the patient, the nurse calls the physician to report the occurrence and then notifies the nursing supervisor about the medication error and completes an incident report. The nurse's manager takes a Quality Management (QM) approach. Which of the following is not a principle of QM?

Choice A reason: This is the correct answer because it demonstrates a leader's emotional intelligence through active engagement, showing interest in the team's concerns, and fostering open communication.

Choice B reason: Writing down thoughts for others to read does not necessarily illustrate emotional intelligence. Expecting immediate responses can be inconsiderate of others' time and does not foster a supportive environment.

Choice C reason: Holding meetings at the nurses' station may show responsiveness to emergencies, but rarely participating in bedside care could indicate a lack of hands-on leadership and empathy.

Choice D reason: While accountability is important, interrupting people and raising one's voice during disagreements can create a hostile environment and does not reflect emotional intelligence.

Choice A reason: A functional structure is an organizational design that groups employees by their similar skills and expertise. While it involves clear roles and responsibilities, it does not necessarily imply that the majority of decisions are made by senior administrators.

Choice B reason: Transformational leadership is a style of leadership where the leader works with teams to identify needed change, creating a vision to guide the change through inspiration. This does not specifically describe an organization with clear rules and procedures.

Choice C reason: A matrix service line is a type of management system that combines a traditional departmental structure with a project-based structure. This choice does not fit the description of an organization primarily governed by strict rules and senior administrator decisions.

Choice D reason: This is the correct answer because a bureaucratic organization is characterized by formal procedures and protocols, a clear hierarchy, and decision-making authority typically residing with senior administrators. This structure is designed to ensure efficiency and consistency in operations.